Healthcare Provider Details

I. General information

NPI: 1346277878
Provider Name (Legal Business Name): LORA L MORGENSTERN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 SPRING VALLEY DR PHARMACY SERVICE - 119
HUNTINGTON WV
25704-9300
US

IV. Provider business mailing address

1616 WURTS AVE
ASHLAND KY
41101-4659
US

V. Phone/Fax

Practice location:
  • Phone: 304-429-6755
  • Fax: 304-429-0362
Mailing address:
  • Phone: 606-329-0549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number011547
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: